@layout("/common/_form.html",{js:["/assets/modular/rw/merToJoin/merToJoin_add.js"]}){
<form class="layui-form" id="merToJoinForm" lay-filter="merToJoinForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">招商加盟信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input id="merToJoinId" name="id" value="${merToJoinId}" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">状态</label>
                        <div class="layui-input-block">
                            <select name="status" lay-verify="required">
                                <option value="0">未处理</option>
                                <option value="1">已处理</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">姓名</label>
                        <div class="layui-input-block">
                            <input name="name" placeholder="请输入姓名" type="text" class="layui-input" lay-verify="required" lay-reqtext="姓名不能为空" disabled/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">电话</label>
                        <div class="layui-input-block">
                            <input name="phone" placeholder="请输入电话" type="text" class="layui-input" lay-verify="required" lay-reqtext="电话不能为空" disabled/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">留言</label>
                        <div class="layui-input-block">
                            <textarea name="message" placeholder="请输入留言" class="layui-textarea" lay-verify="required" lay-reqtext="留言不能为空" disabled></textarea>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>
@}
